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Upper lateral splay graft

B Guyuron1, B J Michelow, C Englebardt

  • 1Case Western Reserve University Cleveland, Ohio, USA.

Plastic and Reconstructive Surgery
|November 12, 1998
PubMed
Summary
This summary is machine-generated.

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The upper lateral splay graft effectively corrects middle vault collapse and improves nasal airflow. This surgical technique offers a reliable, physiologic alternative to external nasal dilators for internal nasal valve stenosis.

Area of Science:

  • Rhinology
  • Plastic Surgery
  • Otolaryngology

Background:

  • Middle vault collapse impairs nasal airflow by narrowing the internal nasal valve.
  • Traditional spreader grafts for correction have variable success rates.
  • A novel technique aims to reconstruct the nasal cartilage 'T' for improved function.

Observation:

  • The upper lateral splay graft reconstructs the nasal "T" structure, using the septum as a fulcrum.
  • This technique provides an intrinsic spring to elevate the upper lateral cartilages, opening the nasal valve.

Findings:

  • The splay graft procedure demonstrated significant functional improvement in nine patients.
  • Potential for excessive dorsal widening exists with imprudent application, impacting aesthetics in some cases.

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Implications:

  • The upper lateral splay graft is a promising, physiologically sound alternative for internal nasal valve reconstruction.
  • Careful patient selection and surgical technique are crucial for optimal functional and aesthetic outcomes.